1-1 of 1 results by Jeremy St. Thomas
One-liner:
Point-of-care ultrasound was noninferior to radiographs for diagnosing distal forearm buckle fractures while improving patient experience.
Summary:
Background: Distal forearm buckle fractures are among the most common pediatric fractures and are often straightforward to diagnose.
Methods: Multicenter randomized trial comparing ultrasound-first evaluation with conventional radiography (n=270).
Results: Ultrasound accurately diagnosed buckle fractures with similar clinical outcomes. Families reported greater satisfaction, ED length of stay decreased, and radiation exposure was avoided.
Limitations: Requires physician ultrasound training. Results apply primarily to uncomplicated distal forearm injuries.
Clinical Relevance: Supports expanding POCUS use for selected pediatric orthopedic injuries and reducing unnecessary radiographs.
Take-home Points:
POCUS is an effective first-line imaging modality, ideal for experienced ultrasound users.
Shorter ED stays.
Eliminates radiation.